dc.rights.license |
Green Published |
|
dc.date.accessioned |
2021-06-03T08:21:07Z |
|
dc.date.available |
2021-06-03T08:21:07Z |
|
dc.date.issued |
2020 |
|
dc.identifier.uri |
www.doi.org/10.5152/tjg.2020.18761 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12619/95308 |
|
dc.description |
Bu yayın 06.11.1981 tarihli ve 17506 sayılı Resmî Gazete’de yayımlanan 2547 sayılı Yükseköğretim Kanunu’nun 4/c, 12/c, 42/c ve 42/d maddelerine dayalı 12/12/2019 tarih, 543 sayılı ve 05 numaralı Üniversite Senato Kararı ile hazırlanan Sakarya Üniversitesi Açık Bilim ve Açık Akademik Arşiv Yönergesi gereğince açık akademik arşiv sistemine açık erişim olarak yüklenmiştir. |
|
dc.description.abstract |
Background/Alms: An increased post-operative mortality risk has been reported among patients who undergo living donor liver transplantation (LDLT) with higher model for end-stage liver disease (MELD) scores. In this study, we investigated the effect of MELD score reduction on post-operative outcomes in patients with a high MELD (>= 20) score by pre-transplant management. Materials and Methods: We retrospectively analyzed 386 LDLT cases, and patients were divided into low-MELD (<20, n=293) vs. high-MELD (>= 20, n=93) groups according to their MELD score at the time of index hospitalization. Patients in the high-MELD group were managed specifically according to a treatment algorithm in an effort to decrease the MELD score. Patients in the high-MELD group were further divided into 2 subgroups: (1) responders (n=34) to pre-transplant treatment with subsequent reduction of the MELD score by a minimum of I point vs. (2) non-responders (n=59), whose MELD score remained unchanged or further increased on the day of LDLT. Responders vs. non-responders were compared according to etiology, demographics, and survival. |
|
dc.language |
English |
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dc.language.iso |
İngilizce |
|
dc.publisher |
AVES |
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dc.relation.isversionof |
10.5152/tjg.2020.18761 |
|
dc.rights |
info:eu-repo/semantics/openAccess |
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dc.subject |
DISEASE SCORE |
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dc.subject |
WAITING-LIST |
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dc.subject |
MORTALITY |
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dc.subject |
SURVIVAL |
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dc.subject |
MODEL |
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dc.subject |
RISK |
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dc.subject |
EXPERIENCE |
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dc.subject |
RECIPIENTS |
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dc.subject |
PATIENT |
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dc.subject |
IMPACT |
|
dc.subject |
Living donor liver transplant |
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dc.subject |
MELD change |
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dc.subject |
survival |
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dc.title |
Delta MELD as a predictor of early outcome in adult-to-adult living donor liver transplantation |
|
dc.type |
Article |
|
dc.contributor.authorID |
DAYANGAC, MURAT/0000-0002-1240-7233 |
|
dc.identifier.volume |
31 |
|
dc.identifier.startpage |
782 |
|
dc.identifier.endpage |
789 |
|
dc.relation.journal |
TURKISH JOURNAL OF GASTROENTEROLOGY |
|
dc.identifier.issue |
11 |
|
dc.identifier.wos |
WOS:000602554500008 |
|
dc.identifier.doi |
10.5152/tjg.2020.18761 |
|
dc.identifier.eissn |
2148-5607 |
|
dc.contributor.author |
Acar, Sencan |
|
dc.contributor.author |
Akyildiz, Murat |
|
dc.contributor.author |
Gurakar, Ahmet |
|
dc.contributor.author |
Tokat, Yaman |
|
dc.contributor.author |
Dayangac, Murat |
|
dc.relation.publicationcategory |
Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı |
|
dc.identifier.pmıd |
33361041 |
|